Emergency Form

Camp Keshet Summer 2020

                     Camp Keshet

Camper Information








In case of emergency, please contact:






















The following people are authorized to pick up my child from camp. I understand that my child will not be released to anyone who does not appear on this list without written consent.
















*This section must be completed.* You may indicate "none" if there are no known allergies.

Agreement: I consent to the enrollment of my child at Camp Keshet and have been advised of the policies regarding fees and the services provided by this facility. I agree that in the case of accident or injury, emergency medical care may be given in the event that I or person named cannot be reached.